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Transcatheter embolization of a renal artery pseudoaneurysm after open partial nephrectomy
Authors:Guiu Boris  Kermarrec Isabelle  Ladoire Sylvain  Cormier Luc  Ricolfi Frédéric
Affiliation:aUniversity of Burgundy, INSERM U866, Dijon, France;bCHU (University Hospital), Department of Radiology, 2 Boulevard Maréchal de Lattre de Tassigny, BP 77908, F-21079 Dijon, France;cCHU (University Hospital), Department of Urology, Dijon, France;dGeorges-François Leclerc Cancer Center, Department of Oncology, Dijon, France
Abstract:Twelve days after an open partial nephrectomy, a 31-year-old man was re-admitted urgently for acute lumbar pain. An emergent helical computed tomography scan with intravenous contrast revealed a 3-cm renal artery pseudoaneurysm at the site of the partial nephrectomy, which was responsible for a large perirenal hematoma. Transarterial hyperselective embolization successfully occluded the pseudoaneurysm with less than 1 mL of N-butyl-2-cyanoacrylate, an embolizing agent less costly than coils. The kidney parenchyma was fully preserved.
Keywords:Pseudoaneurysm   Embolization Kidney   Clear cell renal cell carcinoma
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